Individual
PHILLIP DENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
(860) 714-8110
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
(860) 714-8110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
028882
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001266825
—
CT
Enumeration date
05/15/2006
Last updated
09/12/2008
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